Individual
DEBORA R HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
404 S DIVISION ST, MOSES LAKE, WA 98837-1957
(509) 764-7474
(509) 764-7480
Mailing address
PO BOX 760, MOSES LAKE, WA 98837-0121
(509) 764-7474
(509) 764-7480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00004897
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601772853
UBI
WA
Enumeration date
02/08/2007
Last updated
06/24/2019
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